Several attitudes negatively influence the inter-cultural effectiveness of professionals on ISLTs or other global medical and public health activities, and impede their own personal and professional growth back in their home culture.
Drawing insights from the broader training literature, we argue that evaluation of cross-cultural training effectiveness should adopt comprehensive criteria, including cognitive, skill-based, and affective learning outcomes as well as adaptive transfer.
There is limited evidence on the process of implementing effective child health interventions, their cultural appropriateness, cost-effectiveness, and effects on health inequalities, all of which are important considerations for policy-making.
The assessments included the five dimensions of intercultural effectiveness (Cultural Empathy, Open-mindedness, Social Initiatives, Emotional Stability and Flexibility) and outcome indices relating to socio-psychological adaptation.
Future efforts are required to address these beliefs and assess the feasibility, cultural acceptability and effectiveness of strategies designed to prevent drowning.
Some key remaining uncertainties include lack of evidence regarding acceptability in different cultural groups, cost effectiveness, and applicability of the results to real life settings.
As noted by Panter-Brick et al. [ 60, page 2824] clearly distinguishing and linking "intention to change, actual behaviour change, and subsequent health impact" provides useful information for designing, implementing, and evaluating interventions for cultural and social effectiveness.
Additionally, there is evidence that CBT depression treatments can be culturally adapted to improve their effectiveness with cultural minorities and low socioeconomic groups [ 11, 12].
Since the cost-effectiveness, cultural appropriateness and availability of interventions vary across different contexts it does not follow that funding should not perfectly match disease burden.
Our secondary objective was to evaluate the effect of language and cultural differences on training effectiveness.
